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NPI Code Detail

MEDICARE: SAMANTHA BURTON KEHOE PA-C

MEDICARE: SAMANTHA BURTON KEHOE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA.0008553CO
2363A00000XPhysician AssistantPA101522MA

General Provider Information

NPI Number : 1255186326
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BURTON KEHOE PA-C
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1635 AURORA CT
Second Line :
City : AURORA
State : CO
Zip : 80045-2541
Country : US
Telephone Number : 720-848-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 01/14/2026

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